Individual provider · Type 1 NPI

Shadrin K. Constance

Family Nurse Practitioner · Excelsior, MN

NPI number 1609632223 Active

Practice location

464 2nd St Ste 204
Excelsior, MN 55331-2015

Fax (612) 567-8935

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X238554-5 (MN)
Family Nurse Practitioner Primary 363LF0000X12211 (MN)

Family Nurse Practitioner: Definition to come...

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About NPI 1609632223

Shadrin K. Constance's National Provider Identifier is 1609632223, issued on Feb 21, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Excelsior, MN. The record was last updated on Jul 17, 2025.